| NPI | 1255326849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35082093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.082093) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2025-11-17 |